Predictors of complications and death in patients with esophagectomy due to esophagus cancer

Introduction: Morbidity and mortality continue being high worldwide as consequence of the esophagectomy programmed due to esophagus cancer.   Objective: To identify the predictor factors of postsurgical and death complications, hospitalization and death causes in the studied population.  Method: A...

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Main Authors: Ana María Nazario Dolz, Lázaro Ibrahim Romero García, José Antonio Suárez Rodríguez, Gilberto Carlos Falcón Vilariño
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas 2022-04-01
Series:Medisan
Subjects:
Online Access:http://www.medisan.sld.cu/index.php/san/article/view/4017
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author Ana María Nazario Dolz
Lázaro Ibrahim Romero García
José Antonio Suárez Rodríguez
Gilberto Carlos Falcón Vilariño
author_facet Ana María Nazario Dolz
Lázaro Ibrahim Romero García
José Antonio Suárez Rodríguez
Gilberto Carlos Falcón Vilariño
author_sort Ana María Nazario Dolz
collection DOAJ
description Introduction: Morbidity and mortality continue being high worldwide as consequence of the esophagectomy programmed due to esophagus cancer.   Objective: To identify the predictor factors of postsurgical and death complications, hospitalization and death causes in the studied population.  Method: A cohort study of 81 patients with diagnosis of esophagus cancer was carried out. They were assisted in Saturnino Lora and Dr. Juan Bruno Zayas Alfonso hospitals in the province of Santiago de Cuba from January, 2010 to December, 2019, of which a random sample of 68 was chosen. To identify the prediction factors associated with the complications and mortality 2 cohorts of sick patients were defined: the exposed and those not exposed to interest factors, such as the thoracotomy realization, reinterventions, besides the infectious medical and surgical complications. The statistical method of Hosmer-Lemeshow was used with a significance level of α = 0,10.   Results: If thoracotomy is carried out, the probability that infectious surgical complications are developed is 2.3 times more that if it is not carried out; also, the risk of dying due to this complications (p=0.024), in opposition to when they are not presented, ascends to 370.0 % (IC 90 %: 1.5–14.8).  Conclusion: The thoracotomy realization is established as predictor factor of complications and the presence of reinterventions and infectious medical and surgical complications as death predictors in the programmed esophagectomy.
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spelling doaj.art-8a3b297d8502458ab7deb3665c2c04072022-12-22T02:25:11ZspaCentro Provincial de Información de Ciencias MédicasMedisan1029-30192022-04-012622402541151Predictors of complications and death in patients with esophagectomy due to esophagus cancerAna María Nazario Dolz0Lázaro Ibrahim Romero García1José Antonio Suárez Rodríguez2Gilberto Carlos Falcón Vilariño3Hospital Provincial Saturnino Lora, Santiago de CubaHospital Provincial Saturnino Lora, Santiago de CubaHospital Provincial Saturnino Lora, Santiago de CubaHospital Provincial Saturnino Lora, Santiago de CubaIntroduction: Morbidity and mortality continue being high worldwide as consequence of the esophagectomy programmed due to esophagus cancer.   Objective: To identify the predictor factors of postsurgical and death complications, hospitalization and death causes in the studied population.  Method: A cohort study of 81 patients with diagnosis of esophagus cancer was carried out. They were assisted in Saturnino Lora and Dr. Juan Bruno Zayas Alfonso hospitals in the province of Santiago de Cuba from January, 2010 to December, 2019, of which a random sample of 68 was chosen. To identify the prediction factors associated with the complications and mortality 2 cohorts of sick patients were defined: the exposed and those not exposed to interest factors, such as the thoracotomy realization, reinterventions, besides the infectious medical and surgical complications. The statistical method of Hosmer-Lemeshow was used with a significance level of α = 0,10.   Results: If thoracotomy is carried out, the probability that infectious surgical complications are developed is 2.3 times more that if it is not carried out; also, the risk of dying due to this complications (p=0.024), in opposition to when they are not presented, ascends to 370.0 % (IC 90 %: 1.5–14.8).  Conclusion: The thoracotomy realization is established as predictor factor of complications and the presence of reinterventions and infectious medical and surgical complications as death predictors in the programmed esophagectomy.http://www.medisan.sld.cu/index.php/san/article/view/4017cáncer de esófagoesofagectomíacomplicacionesfactores predictores.
spellingShingle Ana María Nazario Dolz
Lázaro Ibrahim Romero García
José Antonio Suárez Rodríguez
Gilberto Carlos Falcón Vilariño
Predictors of complications and death in patients with esophagectomy due to esophagus cancer
Medisan
cáncer de esófago
esofagectomía
complicaciones
factores predictores.
title Predictors of complications and death in patients with esophagectomy due to esophagus cancer
title_full Predictors of complications and death in patients with esophagectomy due to esophagus cancer
title_fullStr Predictors of complications and death in patients with esophagectomy due to esophagus cancer
title_full_unstemmed Predictors of complications and death in patients with esophagectomy due to esophagus cancer
title_short Predictors of complications and death in patients with esophagectomy due to esophagus cancer
title_sort predictors of complications and death in patients with esophagectomy due to esophagus cancer
topic cáncer de esófago
esofagectomía
complicaciones
factores predictores.
url http://www.medisan.sld.cu/index.php/san/article/view/4017
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